Evacuation Exercise Checklist

• Document No.

• Emergency Evacuation Exercise Checklist

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Names of Control Room staff and senior officer

  Yes

  No

  N/A

• Date of exercise

  Date

• Name of person initiating evacuation signal

  Yes

  No

  N/A

• Type of evacuation exercise

  Fire

  Bomb threat

  Robbery

  Natural disaster

  Other

• How was Evacuation exercise started

  PA

  Fire signal

  Manually

Notifications

• All security staff

• SAPS - 10111 or Local Police Station

• Fire and Rescue Services - Remrad or via telephone

• Building / Centre Management

• Local government: Electricity Department

• Disaster Management - only if required

• Security Company Head Office

Tenant notifications

• Checkers

• Woolworths

• FNB

• Standard Bank

• Nedbank

• Bidvest Bank

Contractor notifications

• Cleaning

• Parking management

• Maintenance staff

• Refuse yard staff

• Air conditioning contractor

• All other contractors that have signed in for work as per the Contractors Register

• Customer assistants / car guards

Procedures

• Have security staff been despatched to manage main entrances and other strategic points

  Yes

  No

  N/A

• Has disaster kit been collected

  Yes

  No

  N/A

• Has the parking area in the basement been shutdown by parking management staff

  Yes

  No

  N/A

• Has the outside parking been shutdown and incoming lanes manned by Customer assistants or security staff

  Yes

  No

  N/A

• Are assembly points manned by marshalls (management or security)

  Yes

  No

  N/A

• Have security staff commenced with the security sweep of the building (1st, ground and basement areas)

  Yes

  No

  N/A

• Have marshalls been assigned and ready to assist with the disabled, elderly or frail

  Yes

  No

  N/A

• Have all toilet facilities, family bathrooms and disabled toilets been checked and verified clear<br>

  Yes

  No

  N/A

• Has a medical team been assigned to standby at assembly point

  Yes

  No

  N/A

Confirmations required

• Have all security officers reported that their particular area is clear and secure

• Have Assembly Point marshalls confirmed that roll call has been taken and all in order

  Yes

  No

  N/A

• Have security guards confirmed that entrances have been "locked down"

  Yes

  No

  N/A

Emergency Services

• Which emergency vehicles have arrived at the premises

  Police

  Fire & Rescue

  Ambulance

  Disaster Mgt

  Traffic

• Have any injuries been reported during the exercise

  Yes

  No

  N/A

• Have any requests been received for emergency or other assistance

  Yes

  No

  N/A

Exercise completion

• Has the "all clear" been given

  Yes

  No

  N/A

• Name of person who issued the "all clear"

  Yes

  No

  N/A

• Time that "all clear" was given

  Date

• What was the time taken to completely evacuate the building

  Yes

  No

  N/A

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